Your first appointment will take a bit longer than subsequent appointments because of the time taken to complete a registration form. This involves a full consultation including:
Together we will agree a treatment plan and I will give you advice on caring for your feet between appointments.
Your nails will be cut and filed and hard skin and corns removed. We will review your treatment plan to ensure you are getting the best results and discuss how you can care for your feet between appointments.
Before treatment, I will assess your nails to ensure that the nails do have a fungal infection. In some cases we wont be able to cure the infection but we can manage it by preventing the nail from becoming thick and painful. If we agree it can be cured then I will usually treat it using the Lacuna method.
MSK conditions affect the joints, bones and muscles. The MSK assessment is designed to assess and diagnose the cause of your foot or ankle pain. This involves taking a full medical history including the history of the symptoms of your foot problem. We will agree a treatment and rehabilitation plan for you to follow at home. Sometimes further investigations may be required, such as a biomechanical assessment or referral to other specialists for x-ray, scans etc.
A biomechanical assessment examines the lower limbs to find any issues with alignment and structure and it will highlight any strengths or weaknesses. It begins with taking a full history of the the pain in your lower limb. I will then check the movement of your joints and also check for any muscle weakness. Once I have identified the cause of your pain we can agree a treatment/ rehabilitation plan to improve your symptoms. Please bring a pair of shorts or loose fitting clothing for this appointment.
If the verruca is not causing pain then it is best to leave it alone because they often resolve themselves. However, if it is painful there are a number of treatments available that we can discuss at the appointment.
Having diabetes means you are at increased risk of developing serious foot problems. Therefore, it's important to take good care of your feet and legs. It is recommended that you have an annual foot assessment by a health professional and check your own feet every day. I will assess the circulation and nerve supply to your feet. I will also be looking for any structural problems in your feet which could cause problems. We can then agree a care plan to reduce the risk of developing serious foot problems.
I will take a full medical history before removing the ingrown part of the nail. I will give you advice for maintaining it at home. The cost will be £35 for a follow up treatment.
If you have a persistent, painful nail e.g. an ingrown toenail that is not resolving, you may want to consider nail removal. I can remove the whole nail or just the side of the nail. If necessary, I will treat the nail bed to ensure it does not grow back. A full assessment will be carried out where we can discuss all the options available and you can sign the necessary consent forms. We can then arrange a mutually convenient time for the surgery to take place.
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